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抗结核药物所致肝损害129例临床分析

Clinical analysis of 129 cases of liver damage caused by anti-tuberculosis drugs

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【作者】 薛卉邢丽华崔建立张彩莲秦超杜钟珍

【Author】 XUE Hui;XING Li-hua;CUI Jian-li;ZHANG Cai-lian;QIN Chao;DU Zhong-zhen;Tianjin Haihe Hospital Department of tuberculosis;

【机构】 天津市海河医院结核科

【摘要】 目的探讨抗结核药致药物性肝损害(DILI)的临床特点。方法回顾分析我科129例肺结核患者在抗结核治疗过程中发生DILI的临床资料。结果高龄、嗜酒、肝炎病毒携带者或有肝病史、抗结核药物治疗的1~3周、血行播散型肺结核更易发生药物性肝损害。结论对抗结核药致DILI的早期诊断和及时合理治疗,以保证患者能够顺利完成化疗。

【Abstract】 Objective to investigate the drug-induced liver damage caused by anti- tuberculosis drugs(DILI) clinical characteristics. Methods Retrospective analysis clinical data of 129 cases of pulmonary tuberculosis patients in our department with the occurrence of DILI in anti tuberculosis treatment process. Results the elderly,drinking,hepatitis B virus carriers or a history of liver disease,anti-tuberculosis drug treatment of line 1~3 weeks,disseminated blood type lung tuberculosis more susceptible to drug-induced liver injury.Conclusions early diagnosis of DILI induced by anti- tuberculosis drugs and proper treatment,to ensure that patients can be successfully completed chemotherapy.

  • 【文献出处】 中国城乡企业卫生 ,Chinese Journal of Urban and Rural Enterprise Hygiene , 编辑部邮箱 ,2014年06期
  • 【分类号】R575
  • 【下载频次】79
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